Ørndrup Mette Heisz, Crewe Bjørn, Stolle Lars Bjørn
Plastikkirurgisk Afdeling, Z, -Aarhus Universitetshospital, Nørrebrogade 44, 8000 Aarhus C.
Ugeskr Laeger. 2014 Jan 20;176(4A):V08130487.
Metastatic melanoma arising from an unknown primary site (MUP) accounts for 1-8% of all melanomas. MUP is characterized by a better survival compared to a melanoma with known primary site. We report a case with a 55-year-old male with MUP and a 1.7 kg axillary lymph node metastasis, which was successfully excised. The patient was fully functional and alive 12 months after surgery. The reported favorable post-operative long-term survival of patients with MUP supports that these patients should be treated with an aggressive surgical approach with curative intent.
原发灶不明的转移性黑色素瘤（MUP）占所有黑色素瘤的1%-8%。与已知原发灶的黑色素瘤相比，MUP的特点是生存率更高。我们报告一例55岁男性MUP患者，其腋窝淋巴结转移灶重达1.7千克，该转移灶已成功切除。术后12个月，患者功能完全正常且存活。所报道的MUP患者术后长期良好生存率支持应对这些患者采取积极的、旨在治愈的手术方法进行治疗。
